болезнь пертеса, консервативное лечение, пролонгированная эпидуральная анальгезия, perthes disease, conservative treatment, prolonged epidural analgesia, Orthopedic surgery, RD701-811

The method of conservative treatment of Perthes disease in the early stages, before the end of the stage of fragmentation is described. The method consists in carrying out prolonged epidural analgesia by administering through an epidural catheter in a segmental innervation zone of the femoral head with local anesthetic dosage rate for 6-10 days. As a result of drug sympathectomy vasodilation and decreased tone of the vascular wall occur, that leading to improved microcirculation in the hip joint. The using this method in 7 patients showed that it allows to stop pain and restore functionality in patients immediately after the end of treatment.